Healthcare Provider Details

I. General information

NPI: 1184553802
Provider Name (Legal Business Name): ROBIN NIAN GUAN BAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

20201 BUPP RD
POOLESVILLE MD
20837-2102
US

V. Phone/Fax

Practice location:
  • Phone: 912-600-6587
  • Fax:
Mailing address:
  • Phone: 757-778-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number7000792
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: